NPI | 1932162187 |
---|---|
Former Name | LILLIAN R TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R094180) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R094180) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD Ac000143) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2022-08-12 |